Bradley Skendzel, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096002889 Issued in IL

Practice address

100 S Brainard Ave
La Grange, IL 60525-2101

Phone

(708) 579-6300

NPI assigned

Jan 11, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1760848402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 WHEELER DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604396147",
            "telephone_number": "708-522-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BRAINARD AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252101",
            "telephone_number": "708-579-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKENDZEL",
        "first_name": "BRADLEY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Sicking, SLP
• Julia Gabrielle Chanco Sim, OTD
• Dennis John Simon, PH.D.
• Miranda Simon
• Jennifer Sims
• Katherine B Slattery, B.S.ED.
• Margaret Janina Slowik, OD
• Brenna Smith, M.ED.
• Brianna Sneed
• Yolanda M Solecki, MA, LCPC, CADC

• Athletic Trainer in La Grange, IL
• Providers in La Grange, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.